JP2004536226A - Methods of surface oxidation of zirconium and zirconium alloys and resulting products - Google Patents

Methods of surface oxidation of zirconium and zirconium alloys and resulting products Download PDF

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Publication number
JP2004536226A
JP2004536226A JP2003514969A JP2003514969A JP2004536226A JP 2004536226 A JP2004536226 A JP 2004536226A JP 2003514969 A JP2003514969 A JP 2003514969A JP 2003514969 A JP2003514969 A JP 2003514969A JP 2004536226 A JP2004536226 A JP 2004536226A
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zirconium
prosthesis
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alloy
blue
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JP4719416B2 (en
JP2004536226A5 (en
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ハンター,ゴードン
アスギアン,キャサリン,エム.
ハインス,ゲイリー,エル.
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Smith and Nephew Inc
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    • CCHEMISTRY; METALLURGY
    • C23COATING METALLIC MATERIAL; COATING MATERIAL WITH METALLIC MATERIAL; CHEMICAL SURFACE TREATMENT; DIFFUSION TREATMENT OF METALLIC MATERIAL; COATING BY VACUUM EVAPORATION, BY SPUTTERING, BY ION IMPLANTATION OR BY CHEMICAL VAPOUR DEPOSITION, IN GENERAL; INHIBITING CORROSION OF METALLIC MATERIAL OR INCRUSTATION IN GENERAL
    • C23CCOATING METALLIC MATERIAL; COATING MATERIAL WITH METALLIC MATERIAL; SURFACE TREATMENT OF METALLIC MATERIAL BY DIFFUSION INTO THE SURFACE, BY CHEMICAL CONVERSION OR SUBSTITUTION; COATING BY VACUUM EVAPORATION, BY SPUTTERING, BY ION IMPLANTATION OR BY CHEMICAL VAPOUR DEPOSITION, IN GENERAL
    • C23C8/00Solid state diffusion of only non-metal elements into metallic material surfaces; Chemical surface treatment of metallic material by reaction of the surface with a reactive gas, leaving reaction products of surface material in the coating, e.g. conversion coatings, passivation of metals
    • C23C8/02Pretreatment of the material to be coated
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    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/3611Heads or epiphyseal parts of femur
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/3625Necks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/32Joints for the hip
    • A61F2/36Femoral heads ; Femoral endoprostheses
    • A61F2/3609Femoral heads or necks; Connections of endoprosthetic heads or necks to endoprosthetic femoral shafts
    • A61F2002/365Connections of heads to necks
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0025Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements
    • A61F2220/0033Connections or couplings between prosthetic parts, e.g. between modular parts; Connecting elements made by longitudinally pushing a protrusion into a complementary-shaped recess, e.g. held by friction fit
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2250/00Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2250/0014Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis
    • A61F2250/0026Special features of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof having different values of a given property or geometrical feature, e.g. mechanical property or material property, at different locations within the same prosthesis differing in surface structures
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00005The prosthesis being constructed from a particular material
    • A61F2310/00011Metals or alloys
    • A61F2310/00035Other metals or alloys
    • A61F2310/00089Zirconium or Zr-based alloys
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2310/00Prostheses classified in A61F2/28 or A61F2/30 - A61F2/44 being constructed from or coated with a particular material
    • A61F2310/00389The prosthesis being coated or covered with a particular material
    • A61F2310/00592Coating or prosthesis-covering structure made of ceramics or of ceramic-like compounds
    • A61F2310/00598Coating or prosthesis-covering structure made of compounds based on metal oxides or hydroxides
    • A61F2310/00634Coating made of zirconium oxide or hydroxides

Abstract

ジルコニウム又はジルコニウム合金材料上の均一で制御された厚さの青黒色酸化ジルコニウムの被膜は、変化した表面粗さを有する単相結晶性材料基体を用いることによって達成される。均一で制御された厚さの酸化ジルコニウム被膜は、股関節,膝関節,肩,肘および背骨のインプラントのような、しかしこれらに限定されない人工関節に低摩擦で高耐摩耗性の表面を与えるために、ジルコニウム又はジルコニウムをベースとする合金の整形インプラントに特に有役である。人工装具上の制御された厚さの均一の厚さの酸化ジルコニウム表面は、金属人工装具のイオン化によって生じるインプラント腐食に対する防壁を提供する。この発明はまた、骨板,骨ねじなどのような非関節インプラントにも有役である。Uniform and controlled thickness blue-black zirconium oxide coatings on zirconium or zirconium alloy materials are achieved by using single phase crystalline material substrates with altered surface roughness. Uniform and controlled thickness zirconium oxide coatings are used to provide low friction, high wear resistant surfaces to artificial joints such as, but not limited to, hip, knee, shoulder, elbow and spinal implants. It is particularly useful for orthopedic implants of zirconium or zirconium-based alloys. The controlled thickness and uniform thickness of the zirconium oxide surface on the prosthesis provides a barrier to implant erosion caused by ionization of the metal prosthesis. The present invention is also useful for non-articular implants such as bone plates, bone screws, and the like.

Description

【技術分野】
【0001】
発明の背景
この出願は、2001年7月20日出願の米国特許出願第09/909,612号に対して優先権を主張する。
【0002】
この発明は、酸化ジルコニウムの薄く、濃密で、低摩擦で、高耐摩耗性の、均一な厚さの被膜で被覆された負荷支持面を有する金属インプラントに関する。
【0003】
この発明はまた、酸化ジルコニウムが金属人工装具と人体組織との間に防壁を与え、それによって金属イオンの放出とインプラントの腐食を防止する整形インプラントの非負荷支持面上の均一厚さの酸化ジルコニウム被膜に関する。
【0004】
この発明はまた、酸化被膜の形成前に、単相結晶構造と均一組成を有するジルコニウム又はジルコニウム合金の表面粗さを制御することによって、ジルコニウム又はジルコニウム合金上に均一厚さの酸化被膜を生成する方法に関する。
【0005】
ジルコニウムのすぐれた耐腐食性は、永年にわたって知られてきた。ジルコニウムは多くの水性および非水性媒体の中ですぐれた耐腐食性を示し、この理由により、化学処理工業や医療的用途における使用の増大が見られてきた。これらの分野におけるジルコニウムの広い用途の限界は、比較的低い耐摩耗性と、摩損し易い傾向性である。この比較的低い耐摩耗性および摩損し易い傾向性は、ジルコニウム合金においても示される。
【0006】
整形インプラント材料は、高い強度,耐腐食性および組織適合性を併用しなければならない。特に、インプラントの受容者が比較的若年である場合には、インプラントが患者の全寿命にわたって機能することが望ましいので、インプラントの寿命は最も重要である。或る金属合金は、必要な機械的強度と生物学的適合性を有するので、人工装具の製造に対して理想的な候補である。これらの合金は、316Lステンレス鋼,クロム・コバルト・モリブデン合金を含み、さらに最近では、負荷支持人工装具の製造に最適であることが証明されたチタン合金を含む。
【0007】
負荷支持インプラントの長寿命を左右する変数の1つは、関節面の摩耗速度と、金属イオン放出の長期作用である。一般の股関節人工装具は、ステムと、大腿部ヘッドと、大腿部ヘッドが関節を形成する寛骨臼カップとからなる。関節面の一方又は両方の摩耗によって、摩耗粒子レベルが増大し、大腿部ヘッドと、それに関節でつながるカップとの間に「遊び」が生じる。摩耗くずは組織の拒絶反応が骨の再吸収につながらないように作用するので、結局、その関節は交換しなければならない。
【0008】
摩耗速度は、多くの要因に依存し、その要因は、大腿部ヘッドと寛骨臼カップを構成する材料の相対硬度と表面仕上げ、カップとヘッドの材料間の摩擦係数、印加される負荷と関節表面に生じる応力を含む。股関節インプラントの製造に現在用いられている最も一般的な材料の組合せは、有機ポリマー又は、例えば超高分子量ポリエチレン(UHMWPE)を含むポリマーのような複合材料で裏打ちされた寛骨臼カップに対して関節でつながる、コバルト又はチタニウム合金の大腿部ヘッドと、有機ポリマー又は複合材料で裏打ちされるか、研磨アルミナで作られた寛骨臼カップに結合する研磨アルミナの大腿部ヘッドを含む。
【0009】
従来の股関節インプラントの摩耗速度に影響を与える要因の内で、最も重要なものは、患者の体重と活動レベルである。さらに、インプラントの通常の使用における、例えば歩行における摩擦熱によって、ポリエチレンカップのクリープと摩耗が加速することが示された。さらにまた、トルク負荷をカップに伝達する摩擦モーメントと、大腿部ヘッドとそのヘッドと関節でつながる寛骨臼カップ表面との摩擦係数との間に相関がある。カップのトルクはカップのゆるみと関連してきた。従って、一般的に、与えられた負荷に対する摩擦係数が高い程、発生するトルクのレベルは高くなる。セラミックの支持面は、著しく低いレベルの摩擦トルクを生成することが示されてきた。
【0010】
また、注目すべきことは、上述したように通常使用される3つの股関節システムの2つは、寛骨臼カップ内のUHMWPEの裏打ちに対して関節でつながる金属大腿部ヘッドを備える。UHMWPEは重合体材料であり、加熱されるとその比較的低い溶融点により通常使用される金属合金又はセラミックスよりもクリープを受けやすく、従って、合金やセラミックスよりも摩耗し易い。
【0011】
金属人工装具は人体において必ずしも不活性ではないということも見出された。体液は金属に作用し、それをイオン化作用によりゆっくりと腐食させ、それによって金属イオンを体内に放出する。人工装具から放出された金属イオンも負荷支持面の摩耗速度に関連する。それは、表面に形成される不動態酸化物フィルムが常に除去されるからである。その再不動態化作用がイオン化作用中に常に金属イオンを放出する。さらに、摩耗物(セメントや骨のくず)の存在がこの作用を加速し、微細な腐食金属粒子が摩耗を増加する。結果的に、寛骨臼カップ内のUHMWPEの裏打ちは、大腿部ヘッドに対して関節でつながれて、加速されたレベルのクリープ,摩耗およびトルクにさらされる。
【0012】
スズキ他の米国特許第4,145,764号は、金属人工装具はすぐれた機械的強度を有するが、イオン化によって体内で腐食する傾向があることを認識している。スズキ他はまた、セラミックスと骨組織との親和性を認めたが、セラミック人工装具は耐衝撃性に劣ることも言及した。従って、スズキ他は、接着剤でプラズマスプレイされ孔の中に骨を内部成長させる多孔質セメント被膜で順に覆われた金属人工装具を提供した。この組合せは、すでに述べたが、金属の機械的強度とセラミックスの生物学的適合性の両方を提供するであろう。
【0013】
スズキの特許は、整形インプラントの摩擦や摩耗の論点に取り組まなかったが、金属人工装具の生物学的適合性についての単一の論点に絞った。さらに、スズキ他は被膜を適用した時に生じる寸法変化や関節を形成する人工装具間の嵌め合いの絞りにおける寸法変化の影響の論点に取り組まなかった。
【0014】
さらに、金属基体にセラミック被膜を適用することは、セラミックと下地金属基体との間の弾性率や熱膨張の差によりクラックを生じる傾向のある不均一で付着性の悪い被膜に帰着することが多い。さらに、そのような被膜は比較的厚い(50〜300ミクロン)傾向にあり、金属とセラミック被膜間の接着が弱いことが多く、摩損やセラミック被覆のはく離の危険性がある。
【0015】
耐摩耗性を増大する目的で、ジルコニウム部品の上に酸化ジルコニウム被膜を生成することが、以前から試みられてきた。1つのそのような処理がワトソンの米国特許第3,615,885号に開示され、それはジルカロイ(Zircaloy)2とジルカロイ(Zircaloy)4の上に厚い(0.23mmまでの)酸化物層を展開する手順を開示している。しかしながら、この手順は、約5mm以下の厚さを有する部品に対する著しい寸法変化に帰着し、そして、生成される酸化膜は特に高い耐摩耗性を示さない。
【0016】
ワトソンの米国特許第2,987,352は、耐摩耗性を増大する目的で、ジルコニウム合金の部品の上に青黒色酸化被膜を生成する方法を開示している。米国特許第2,987,352号と米国特許第3,615,885号の両方は、空気酸化によりジルコニウム合金の上にジルコニウム酸化被膜を生成する。米国特許第3,615,885号は米国特許第2,987,352の青黒色被膜よりも厚いベージュ色の被膜を生成するために十分長く空気酸化を継続する。このベージュ色の被膜は青黒色被膜の耐摩耗性を有しないので、きわめて接近した2つの作動面がある多くの部品に適用できない。酸化ジルコニウム粒子が結果的に形成され酸化ジルコニウム表面の保全性が失われることにより、ベージュ色の被膜は青黒色酸化被膜よりも早く摩耗する。酸化表面の損失により、ジルコニウム金属がその環境に露出し、ジルコニウム接合面を金属表面から隣接する環境へ移動させることになる。
【0017】
青黒色被膜の硬度はベージュ色被膜の硬度より高いが、青黒色被膜はベージュ色被膜より小さい厚さを有する。この硬い青黒色酸化被膜は人工装具のような表面にうまく役立つ。青黒色被膜は、ベージュ色被膜より耐摩耗性が高いが、比較的薄い被膜である。従って、従来技術と同じタイプの被膜を生成せずに高い摩耗性の青黒色被膜を生成することが望ましい。
【0018】
ダビッドソンの米国特許第5,037,438号は、酸化ジルコニウム表面を有するジルコニウム合金の人工装具を製造する方法を開示している。ワトソンの米国特許第2,987,352号は、酸化ジルコニウム表面を有するジルコニウムのベアリングを製造する方法を開示している。製造された酸化被膜は厚さが必ずしも均一ではないので、その非均一性が、ジルコニウム合金と酸化層との間の接着の保全性および酸化層内の接着の保全性を減じる。米国特許第2,987,352号と米国特許第5,037,438号は引用によってここに完全に記載されたかのように組み込まれる。
【0019】
国際公報、PCTWO98/42390と、それに関連する係属米国出願09/381,217号において、ハンター他は、均一厚さの酸化ジルコニウム被膜を得る方法を開示した。ハンターは、精製された微細構造と変化表面粗さに帰着する基体材料に呼び酸化処理技術を適用することによって、それが得られることを示した。微細構造の精製は、インゴットの精錬棒材への熱鍛造加工,閉鎖ダイ鍛造,高速凝固および粉末圧縮を含む技術によって、PCTWO98/42390に示されている。変化表面粗さは、研削,バフかけ,マス仕上げ,振動仕上げなどによって達成される。米国出願第09/381,217号は引用によってここに完全に記載されたかのように組み込まれる。
【0020】
ジルコニウム合金の上に均一厚さの酸化被膜を生成する方法が要望されている。受容者の生涯にわたって移植されることが可能な低摩擦で高耐摩耗性の負荷支持面を有する金属合金をベースとする整形インプラントが要望されている。体液の作用によって腐食されにくく、生物学的適合性を有し、受容者の生涯にわたって安定な金属合金ベースの整形インプラントが要望されている。
【0021】
この発明は、均一で制御された厚さの青黒色酸化ジルコニウム被膜を形成すべくジルコニウム又はジルコニウム合金を酸化する前に、単相/単一組成のジルコニウムベース基体上に変更した表面粗さを誘因し、単相結晶構造と均一組成を有するジルコニウム又はジルコニウム合金上に均一厚さの酸化被膜を形成する改良された方法を提供するものである。この発明はまた、ジルコニウム又はジルコニウム合金の人工装具の少なくとも一部分の表面粗さを変更し、ジルコニウム又は酸化ジルコニウムは、人工装具を酸化する前に、その少なくとも一部分が単相結晶構造と均一組成を含んで人工装具の表面の少なくとも一部分に均一で制御された厚さの青黒色酸化ジルコニウム被膜を形成することによって、患者に移植するためのジルコニウム又はジルコニウム合金人工装具の上に均一厚さの酸化被膜を形成する方法を提供するものである。
【0022】
発明の要旨
以下の明細書に用いられる「1つ」は1つ以上を意味する。特許請求の範囲において「備える」に関連して用いられる場合は、「1つ」は1つ以上を意味する。以下に用いられる「他の」は、少なくとも第2又はそれ以上を意味する。
【0023】
ここで使用する用語「単相結晶構造と均一組成」は、同質で、固溶体で、唯一の結晶相をもつ微細構造を有する合金又は純金属材料として定義される。合金の場合には、それは、全体の金属が単一の結晶相のみからなる単一で同質の固溶体を指す。
【0024】
ここで使用する「ジルコニウム合金」は、零より大きい量のジルコニウムを含むすべての金属合金として定義される。従って、ここでは、ジルコニウムが少ない成分である合金は、「ジルコニウム合金」と考えられる。
【0025】
次の説明は、この発明を実施するための好ましい実施態様の実例を含む。しかしながら、それらは限定する例ではない。他の例や方法が、この発明の実施において可能である。
【0026】
酸化ジルコニウムの均一厚さの青黒色又は黒色層によって、少なくとも一部が自然酸化を介して被覆されたジルコニウム又はジルコニウム含有金属合金の人工装具又はインプラントと、前記均一被膜を形成する方法をこの発明は提供する。酸化ジルコニウムの均一被膜は、関節人工装具の関節面に用いるのに理想的に適した、薄く、濃密で、低摩耗で、耐摩耗性で、生物学的適合性を有する表面を備え、関節面が、酸化ジルコニウムで被覆された表面に対して関節でつながり、移動し、回転する人工装具を提供する。従って、均一な酸化ジルコニウム被膜は、大腿部ヘッドや、股関節インプラントの寛骨臼カップの内面や、膝関節,肩,甲関節,肘関節又は脊髄インプラントのような、しかしそれに限定されない他のタイプの人工装具の関節面に有役に用いられる。
【0027】
1つの実施態様には、単相結晶構造と単一組成を有するジルコニウム又はジルコニウム合金の表面粗さを変更し、次いで、前記ジルコニウム又はジルコニウム合金を酸化する工程を備える、均一厚さの青黒色又は黒色酸化ジルコニウムの層によってジルコニウム又はジルコニウム合金を被覆する方法がある。1つの特定の実施態様では、前記表面粗さを変える工程は、約3マイクロインチから25マイクロインチまでの範囲の表面粗さ(Ra)に変えることからなる。他の実施態様では、前記表面粗さを変える工程は、約3.5マイクロインチから7マイクロインチまでの範囲の表面粗さ(Ra)に変えることからなる。表面粗さを変えることは、多くの方法により達成される。表面粗さを変える実例は、研削,バフかけ,マス仕上げ,震動仕上げおよびそれらのいずれかの組合せを含むが、これらに限定されない。その方法の特定の実施態様では、ASTMマイクロ粒度番号10より小さい粒度を有するジルコニウム又はジルコニウム合金が用いられる。ジルコニウム又はジルコニウム合金の酸化は、多くの方法により達成される。その実例は、酸化体として空気を用いることや酸化体として酸素を用いることを含むが、これらに限定されない。特定の実施態様では、単相結晶構造と均一組成を有するジルコニウム又はジルコニウム合金の表面粗さを変える工程は、0.3重量%の酸素を含むジルコニウム又はジルコニウム合金上で行われる。さらに他の実施態様では、その方法は、純粋なアルファ相ジルコニウムの表面粗さを変えることを含む。ジルコニウム又はジルコニウム合金は、多くの方法で製造される。その実例は、インゴットの棒材への熱鍛造加工,閉鎖ダイ鍛造,高速凝固,および粉末圧縮を含むグループから選択される処理を含むが、これらに限定されない。
【0028】
この発明の他の実施態様では、少なくともその一部分がジルコニウム又はジルコニウム合金から形成された外部表面を有する人工装具本体と、外部表面の前記部分の上に形成された均一厚さの青黒色又は黒色酸化ジルコニウム被膜とを備え、患者に移植される人工装具がある。青黒色又は黒色酸化ジルコニウムは、前記方法のいずれか、又は均等な方法のいずれかによって形成される。
【0029】
特定の実施態様では、人工装具は、人工装具本体が均一厚さの青黒色又は黒色酸化ジルコニウムの部分的又は完全な被膜を備えるジルコニウム又はジルコニウム合金材料から少なくともその一部が形成された非関節医療インプラントであることを特徴とする。他の特定の実施態様では、その非関節医療インプラントは、骨板および骨ねじを含むグループから選択される。
【0030】
他の実施態様では、支持面を有する人工装具は、人工装具本体上の少なくとも1つの関節丘と、支持面と共働するようになっている脛骨要素とを備える。青黒色又は黒色酸化ジルコニウムの被膜は、関節丘部分の支持面に直接形成され、脛骨要素の摩耗を低減する。この実施態様では、脛骨要素は有機ポリマー又はポリマーベースの複合材料から形成できる。他の実施態様では、人工装具は、人工装具本体上に支持面をさらに備え、その支持面は他の人工装具部分の第2の支持面と係合又は共働する大きさと形状を有することができる。特定の実施態様では、第2の支持面は、有機ポリマー又はポリマーベースの複合体から形成される。
【0031】
この発明のさらに他の実施態様では、人工装具本体は、ジルコニウム又はジルコニウム合金から形成されたヘッド部を備えた大腿骨に移植するための股関節人工装具である。この実施態様では、人工装具は、人工装具本体のヘッド部上の支持面と、内面を有する寛骨臼カップとを備え、その内面はヘッド部上の支持面と共働するようになっている。青黒色又は黒色酸化ジルコニウムの被膜は、ヘッド部の支持面に直接形成され、寛骨臼カップ内面の摩耗を低減する。特定の実施態様において、寛骨臼カップの内面は有機ポリマー又はポリマーベースの複合材料から形成できる。
【0032】
他の実施態様では、前述のいずれかの人工装具は、青黒色又は黒色酸化ジルコニウム被膜は約20ミクロンまでか、又は約10ミクロンまでの厚さであることを特徴とする。
【0033】
他の実施態様では、前述のいずれかの人工装具は、人工装具本体の移植部分が、人工装具本体の一部で内部成長する組織を収容するようになっている不規則面構造をさらに備えることを特徴とする。特定の実施態様では、その不規則面構造は、人工装具本体の外面に取り付けられるジルコニウム又はジルコニウム金属ビーズから形成され、そして、ビーズの表面の少なくとも一部が酸化されて青黒色又は黒色酸化ジルコニウムになっている。また、その不規則表面構造は、人工装具本体の外面に接続されたジルコニウム又はジルコニウム合金の金網から形成され、その網の少なくとも一部が酸化されて青黒色又は黒色酸化ジルコニウムになっている。
【0034】
他の実施態様では、前述のいずれかの人工装具は、人工装具本体が膝関節,股関節,あご,指,肩甲関節,又は脊髄に適した内部人工装具本体であることを特徴とする。
【0035】
図面の説明
図1は、正しい位置にある股関節人工装具を示す概略図である。
【0036】
図2は、一般的な股関節人工装具を示す概略図である。
【0037】
図3は、正しい位置にある股関節人工装具を示す概略図である。
【0038】
図4は、一般的な膝関節部品を示す概略図である。
【0039】
発明の詳細な説明
この発明の1つの観点は、単相結晶構造および均一組成と修正された表面粗さとをそれぞれ有するジルコニウム又はジルコニウム合金上に均一厚さの酸化被膜を形成する方法を提供することである。この発明の他の観点は、人工装具本体の一部に組織の内部成長を受入れるようになっている関節面と不規則面との構造のような、人工装具面上の均一厚さの、低摩擦の酸化被膜を提供することである。
【0040】
ジルコニウム又はジルコニウム合金を酸化する前に、単相結晶構造および均一組成をそれぞれ有するジルコニウム又はジルコニウム合金上に、変化した表面粗さを誘導することによって、均一厚さの酸化被膜を形成する主な方法が、種々の人工装具の部品および装置に適用できる。これらの人工装具の部品および装置は、心臓弁,総合的人工心臓インプラント,心室援助装置,脈管移植片およびステントを含む心血管インプラント;ペースメーカと神経誘導子と細動除去誘導子のような電気信号電送装置;ガイドワイヤおよびカテーテル;経皮的装置;および股関節および表面交換品,膝関節,背関節,肘,内部人工装置,脊髄セグメントおよび指を含む関節人工装置を含むが、これに限定されない。そのような関節面の実例は、図1〜4の概略図に示される。さらに、骨板や骨ねじなどのような非関節インプラント素子における適用が可能である。
【0041】
代表的な股関節アセンブリィが図1に自然位で示される。股関節ステム2は大腿骨に嵌入され、人工装具の大腿部ヘッド6は、図1に示すように骨盤に順に固定される寛骨臼カップ10の内層8に嵌入されて関節でつながる。多孔質金属ビーズ又は金網被膜12は、その多孔質被膜の中へ周辺の組織が内部成長することによってインプラントを安定化させるように組込まれる。同様に、そのような多孔質金属ビーズ又は金網被膜は、寛骨臼要素に適用できる。大腿部ヘッド6は、股関節ステム2と一体の部分であってもよいし、股関節人工装具の首部4の端の円錐テーパの上に搭載された分離要素であってもよい。これによって、セラミックのような他の材料の大腿部ヘッドではなく、金属ステムと首部を有する人工装具を製作することができる。この構成方法は望ましいことが多い。それはセラミックスが、寛骨臼カップのUHMWPE内層と関節でつながるとき、ほとんど摩擦トルクと摩擦を生じないことが見出されたからである。さらに、ジルコニアセラミックは、UHMWPEの摩耗がアルミナよりも少ないことが見出された。しかし、その材料にかかわらず、大腿部ヘッドが寛骨臼カップの内面と関節でつながり、それによって摩耗をひき起こし、長期間経つと、これは人工装具の交換を必要とすることがある。これは、特に、大腿部ヘッドが金属で、寛骨臼カップが有機ポリマー又はその複合材料で裏打ちされる場合である。ポリマー表面は、良好な、比較的低摩擦な表面と生物学的適合性を提供するが、それらは、通常の使用時に受ける摩擦熱やトルクにより、摩耗や加速されたクリープにさらされる。
【0042】
加熱工程によって従われる照射を通じて架橋されたUHMWPEは、大きい耐摩耗性を表すことが示されてきたが、それは、同じような欠点を有する。代表的な膝関節人工装具が自然位で図3に示されている。膝関節は大腿部要素20と脛骨要素30とを備える。大腿部要素は、大腿部要素の関節面を備える関節丘22と、大腿骨に大腿部要素を固定するための釘24とを備える。脛骨要素30は、脛骨に脛骨ベースを搭載するための釘34を有する脛骨ベース32を備える。脛骨プラットホーム36は、脛骨ベース32の上に搭載され関節丘22の形状に類似した溝38を備える。関節丘26の底面は脛骨プラットホームの溝38に接触し、関節丘は脛骨プラットホームに対しこれらの溝の中で関節でつながる。関節丘は一般的に金属で作られるが、脛骨プラットホームは有機ポリマー又はポリマーベースの複合材料から作ることができる。従って、硬い金属関節丘表面26が、比較的柔らかい有機組成物と関節でつながる。これは結果的に有機材料、つまり、脛骨プラットホームの摩耗を生じさせ、人工装具の交換を必要とする。股関節の場合のように、多孔質のビーズ又は金網被膜を膝関節の脛骨要素又は大腿部要素あるいは両方に適用することもできる。
【0043】
この発明は、ジルコニウム又はジルコニウム含有金属合金からなり均一厚さの酸化ジルコニウムで被覆された整形インプラント又は人工装具、あるいは従来の整形インプラント材料のジルコニウム又はジルコニウム合金の薄い被膜を提供する。金属合金人工装具基体の所望の面に連続的で有役な均一厚さの酸化ジルコニウム被膜を形成するために、金属合金は約80〜約100重量%、好ましくは、約94〜約100重量%のジルコニウムを含むべきである。酸素および他の共通合金要素は、結果として得られる合金が単相のものであるならば、合金中に用いられてもよい。侵入型要素の酸素,窒素,および炭素は、特に、単相結晶性顕微鏡組織を維持する間、ジルコニウムを強化する能力を有する。低温では、ジルコニウムは、アルファ(α)相結晶である。ベータ(β)相ジルコニウムは、高温(約866℃以上)で安定であるが、ニオブのようなβ安定剤を加えることにより低高で安定になることができる(酸素のようなαの安定剤は転移温度を高める)。本願で有役な合金の例は、0.3重量%の酸素を含むα相ジルコニウム,α相安定剤である。他のα相安定剤は、窒素,アルミニウム,およびスズを含む。また、ニオブ,クロム,鉄およびモリブデンのような1つ以上のβ安定剤と共に合金にされたβ相ジルコニウムは、この発明において有役である。
【0044】
ベースジルコニウム含有金属合金は、人工装具の基体を与えるために所望の形状と大きさに従来の方法によって作られる。整形されたジルコニウム又はジルコニウム合金は、単相合金材料を作るための1つ以上の他の要素とジルコニウムとを合金することによって作られる単相結晶性構造と均一組成を有する必要がある。
【0045】
次に、基体のジルコニウム又はジルコニウム合金は、研削,バフかけ,マス仕上げおよび振動仕上げを含むがこれに限定されない表面研磨処理にかけられる。その表面研磨処理は、約3〜約25マイクロインチの変した表面粗さを生成するために用いられる。また、表面粗さの範囲は、約3.5〜約7マイクロインチとすることができる。ジルコニウム又はジルコニウム合金がそれぞれ単相結晶性構造および均一組成と、適度な変化した表面粗さとを有して酸化処理にさらされるとき、適当な変化した表面粗さは、予め存在する表面粗さを、均一な酸化被膜を形成できる大きさの変化した表面粗さに変えることによって生成される。
【0046】
次に、基体は、その表面に均一厚さの酸化ジルコニウムの強固に接着した拡散結合の被膜を自然に(自然位で)形成させる処理条件にさらされる。その処理条件は、例えば、空気,蒸気,水酸化又は塩浴酸化を含む。これらの処理は、薄くて、硬くて、濃密で、青黒色又は黒色の、低摩擦で、耐摩耗性で、均一厚さで、代表的に数ミクロンの範囲の厚さの酸化ジルコニウムフィルム又は被膜を、人工装具基体の表面に、理想的に提供する。この被膜の下で酸化処理により拡散した酸素は、下にある基体金属の硬度と強度を増大させる。
【0047】
空気と水の酸化処理は、権利期間が満了したワトソンの米国特許第2,987,352号に記載され、その開示は、引用によって記載通りに取り込まれる。各々が単相結晶性構造と均一組成と適度の変化表面粗さを有するジルコニウム又はジルコニウム合金に適用される酸化処理は、高延伸単斜晶系結晶型の均一厚さの酸化ジルコニウムの強固に付着した黒色又は青黒色層を提供する。酸化が過度に継続された場合、被膜は白くなり金属基体から分離する。便宜上、金属人工装具基体は、空気のような酸素含有雰囲気を有する炉の中に設置され、代表的には、900°〜1300°Fで約6時間に至るまで加熱される。しかしながら、温度と時間の他の組合せが可能である。高い温度を用いると、酸化時間が短縮され、白色酸化物の形成を防止する。
【0048】
金属合金人工装具へ酸化ジルコニウム被覆を適用するために用いることができる塩浴法の1つは、ヘイガースの米国特許第4,671,824号の方法であり、その特許の開示はその全記載が引用によって取り込まれる。塩浴法は、類似した、やや高い耐摩耗性の青黒色又は黒色酸化ジルコニウム被膜を提供する。この方法では、溶融塩浴中にジルコニウムを酸化することができる酸化化合物が存在することが必要となる。その溶融塩は、塩化物,硝酸塩,シアン化合物などを含む。酸化化合物,炭酸ナトリウムが、少々、約5重量%まで存在する。炭酸ナトリウムを添加することによって塩の融点が低下する。空気酸化におけるように、酸化速度は溶融塩浴の温度に比例し、‘824の特許は、むしろ550℃〜800℃(1022°F〜1470°F)の範囲を選ぶ。しかしながら、塩浴中の低酸素レベルは、同じ時間と同じ温度で、炉による空気酸化よりも薄い被膜を生成する。1290°Fで4時間の塩浴処理によって、約7ミクロンの酸化被膜厚さが生成される。
【0049】
酸化ジルコニウム被膜の全体的な厚さは、自然位の成長工程における種々の時間と温度によって主に制御される。この発明は、そのように生成される被膜の厚さの均一性に関する。ここに述べる方法による酸化処理中における均一な酸化被膜の生成は、適当な変化した表面粗さを有する表面と、単相結晶性構造と均一組成とに依存する。酸化被膜は、表面の凹凸から始まって成長するので、酸化開始部位が遠く離れすぎると円滑すぎる表面に均一な被膜厚さを形成する。酸化速度は、(2相ジルコニウム合金におけるアルファおよびベータ列理間のように)異なる構造と組成の列理(grain)において、異なることができる。従って酸化被膜は、粗すぎる微細構造により、均一厚さに成長しないことがある。必要な最小表面粗さと最大相均質性に対する特定の限界は、合金と用途に依存する。
【0050】
均一厚さの酸化ジルコニウム被膜は、約20ミクロンまで変化する。約1〜約10ミクロンの厚さで変化する均一厚さの青黒色酸化ジルコニウム層が形成されることが好ましい。均一な厚さの酸化ジルコニウム層は約3ミクロン〜約7ミクロンまで変化することが最も好ましい。例えば、1100°Fで3時間の炉による空気酸化は、約4マイクロインチの表面粗さ(Ra)を有し96重量%より多いジルコニウムを有するジルコニウム合金の上に、4〜5ミクロンの厚さの均一な酸化被膜を形成する。さらに長い酸化時間とさらに高い酸化温度によってこの厚さは増大するが、被膜の結合性を危うくすることがある。例えば、1300°Fで1時間は、約9ミクロンの酸化被膜厚さを形成する。もちろん、薄い酸化物のみが表面に必要であるので、非常に小さい寸法変化、典型的には人工装具の厚さを越えて10ミクロンより小さい寸法変化のみが、結果として生じる。一般的に、薄い被膜(1〜10ミクロン)は良好な付着強度を有する。しかしながら、用途によっては、さらに厚い被膜が用いられることがある。
【0051】
従来技術の方法のいずれかによって生成された青黒色又は黒色酸化ジルコニウム被膜は、硬度において全く類似している。例えば、精錬したジルコニウム合金人工装具基体が酸化される場合、表面の硬度は当初の金属表面の200ヌープ硬度を越えた劇的な増加を示す。塩浴又は空気酸化処理の結果として生じる青黒色酸化ジルコニウム表面の表面硬度は、約1200〜1700ヌープ硬度である。
【0052】
この発明の拡散結合され、低摩擦で、高耐摩耗性の均一厚さの酸化ジルコニウム被膜は、摩耗状態にさらされる人工装具の表面と、整形インプラントと、生物学的適合性表面を要求する装置に適用できる。そのような表面は、膝関節,肘および股関節の関節面を含む。前述のように、股関節の場合には、大腿部ヘッドとステムとが金属合金から一般的に作成され、寛骨臼カップはセラミックス,金属,あるいは、有機ポリマーで裏打ちされた金属又はセラミックスから作成される。
【0053】
酸化ジルコニウム被膜が摩耗にさらされる表面に適用されるとき、摩耗を最小にするために円滑な仕上げ表面を得ることが望ましい。酸化処理後に、酸化被膜表面は、種々の従来の仕上げ技術のいずれかによって研磨されることができる。十分な酸化物の厚さは、選択された仕上げ技術に適応するように形成されなければならない。例えば、酸化前に約4マイクロインチの表面粗さ(Ra)を有していた約5ミクロンの均一酸化被膜を有する表面は、酸化物の厚さで約1ミクロンを減ずることによって、約2マイクロインチの最終表面粗さ(Ra)まで研磨されることができる。
【0054】
ジルコニウム又はジルコニウム合金は、多孔質のビーズや金属網表面を提供するためにも使用されることができ、周囲の骨や他の組織がそれらと一体化して人工装具を安定化する。これらの多孔質の被膜は、金属イオン放出の排除や低減のための人工装具基体の酸化により同時に処理されることができる。さらに、ジルコニウム又はジルコニウム合金は、変化表面粗さの導入,自然酸化および均一酸化ジルコニウム被膜の形成の前に、従来のインプラント材料を覆うように適用される表面層として用いられることもできる。
【0055】
低摩耗性を有し、かつ、米国特許第3,615,885の処理において大きい寸法変化を伴う厚膜酸化被膜の形成における問題が、この発明の処理によって回避される。全体的な被膜厚さと厚さの均一性との両方を制御することによって、きびしい公差が要求される人工装具の製造における多くの寸法制御が可能になる。この発明はまた、‘885特許のそれとは違って、高耐摩耗性を有する酸化膜を生成する。
【0056】
この発明の処理は、単相結晶構造と均一組成を有するジルコニウム又はジルコニウム合金上に変化表面粗さを生成することにより、均一厚さの青黒色ジルコニウム酸化被膜を形成することになり、その厚さは酸化条件を適当に選択することにより制御できる。均一厚さの酸化被膜を形成することによって、酸化被膜と下層のジルコニウム又はジルコニウム合金間の密着の高い保全性および酸化物層内の密着の高い保全性による特に高い耐摩耗性と低い摩耗を有する可変で制御可能な厚さの酸化被膜が与えられる。「高い保全性」という用語は、光学顕微鏡で断面を見たときに目に見えるクラックや穴のない厚さの均一な酸化被膜を示す。
【0057】
この発明は、均一厚さの酸化ジルコニウムにより自然酸化で被覆された単相結晶構造で均一組成のジルコニウム又はジルコニウム含有金属合金の人工装具を提供する。均一厚さの酸化ジルコニウム被膜は、関節面が対応関節面に関節でつながり、移動し、回転する関節人工装具の関節面に理想的使用される薄く,濃密で,低摩擦で,高保全性で,耐摩耗性で,生物学的に適用可能な表面を有するこの発明の人工装具を提供する。従って、均一厚さの酸化ジルコニウム被膜は、大腿部ヘッドや、股関節インプラントの寛骨臼カップの内面や、膝関節のような他のタイプの人工装具の関節面上に有役に用いられる。
【0058】
均一厚さの酸化ジルコニウムで被覆された関節面が、非金属で被覆されるか又は酸化ジルコニウムでないもので被覆された表面に対して関節でつながるか回転するように用いられるとき、均一厚さの被膜の低摩擦特性および均一厚さ被膜の高い保全性によって、摩擦,摩耗および熱発生が、従来技術の人工装具に対して減少する。この減少した熱発生によって、非金属又は非酸化ジルコニウム被覆支持面がクリープおよびねじりモーメントを経験する傾向が低減され、対向面の有効寿命が増大する。UHMWPEのような有機ポリマーは、内層の寿命期間に有害な影響を与える熱にさらされるとき、クリープの速度が迅速に増大する。ポリマーの摩耗くずは有害な組織反応や装具の弛みにつながる。従って、均一厚さの酸化ジルコニウム被膜は、それが高い保全性により適用される人工装具基体の保護の改良に役立つのみならず、それはまたその低摩擦面の結果として、それが作動的に接触するこれらの表面を保護し、結果的に人工装具の性能と寿命を増大する。
【0059】
均一厚さの酸化ジルコニウム被覆関節面はまた、対向面が人体組織であるとき、対向面の有効寿命を増大する。関節の一要素の外科的交換は「半関節形成術」と呼ばれ、交換された関節は、1つの関節(人工装具)要素しか有していないので、その関節要素は「単極」人工装具又は「内部人工装具」と呼ばれることは多い。均一厚さの酸化ジルコニウム被膜は、人体組織に対して関節でつながり、移動し、回転するための低摩擦面であり、それによって、人体組織の対向面に対して、有機ポリマーの対向面に対する場合と同様の有益な結果をもたらす。
【0060】
酸化ジルコニウム被覆人工装具の有用性は、負荷支持人工装具に限定されず、特に高速摩耗と遭遇する関節に限定されない。他の応用は、骨板や骨ねじなどのような非関節インプラント装置において可能である。均一厚さの酸化ジルコニウム被膜は、ジルコニウム合金人工装具基体に強固に接着されているので、体液とジルコニウム合金金属との間に強化された境界壁を提供し、それによって、イオン化とそれに関連する金属イオン放出の工程による合金の腐食が、非均一酸化被膜に比べて、防止される。
【0061】
さらに、基体金属の中のジルコニウムの存在から均一厚さの酸化ジルコニウム被膜を自然形成することは、酸化被膜の下の金属基体の中に酸素を拡散させることを含む。ジルコニウムの中の合金成分である酸素は、金属基体の強度を、特に、疲労強度を増大させる。さらに、均一厚さの被膜の高い保全性は、クラックや穴を含む非均一厚さの酸化被膜に対して疲労クラック開始部位の数を減少させる。疲労負荷に対する抵抗は、股関節ステムや大腿部および脛骨膝関節要素のような多くの整形インプラントの用途においてすぐれている。従って、均一厚さの酸化ジルコニウム被膜の形成は、摩耗,摩擦および耐腐食性を改良するのみならず、強度の観点からインプラント装置の機械的保全性をも改良する。
【0062】
この発明をその好ましい実施態様を引用して説明したが、当業者であれば、この開示を読めば、上述又は以下に請求する発明の範囲と精神から離れることなくなすことができる変更や変形を認識することができる。
【0063】
明細書中で述べたすべての特許および文献は、この発明が関連する技術における当業者のレベルを示す。すべての特許および文献は、各文献が特に、個々に引用によって組込まれるように示されているかのように、同じ内容を引用することによりここに組込まれる。
米国特許文献
4,145,764 3/1979 スズキ他
3,615,885 10/1971 ワトソン
2,987,352 6/1961 ワトソン
5,037,428 8/1991 ダビッドソン
外国特許文献
PCTWO98/42390 10/1998(発行) ハンター他
他の参照文献
ASTM Manual on Zirconium and Hafnium, ジェイ.エイチ.シュメル;Special Technical Publication 639, American Society for Testing and Materials, フィラデルフィア,PA, 1977年。
Transformations in Metals, ピー.ジー.セウマン,マグロウヒル,ニューヨーク,1969年。
【0064】
当業者であれば、目的を実行して記載された結果と効果を、本来存在するものと同様に得るようにこの発明がうまく適用されることは容易に認識する。ここに記載されたシステム,方法,手順および技術は、好ましい実施態様を現在表し、例示的なものとして意図され、その範囲を限定するものとして意図されていない。この発明の精神に含まれるか、又は特許請求の範囲によって定義される変形や他の使用は、当業者であれば思いつくことである。
【図面の簡単な説明】
【0065】
【図1】正しい位置にある股関節人工装具を示す概略図である。
【図2】一般的な股関節人工装具を示す概略図である。
【図3】正しい位置にある膝関節人工装具を示す概略図である。
【図4】一般的な膝関節部品を示す概略図である。
【Technical field】
[0001]
Background of the Invention
This application claims priority to US patent application Ser. No. 09 / 909,612, filed Jul. 20, 2001.
[0002]
The present invention relates to a metal implant having a load bearing surface coated with a thin, dense, low friction, high wear resistant, uniform thickness coating of zirconium oxide.
[0003]
The present invention also provides a uniform thickness zirconium oxide on the unloaded support surface of an orthopedic implant in which the zirconium oxide provides a barrier between the metal prosthesis and human tissue, thereby preventing the release of metal ions and corrosion of the implant. Regarding the coating.
[0004]
The present invention also produces a uniform thickness oxide film on zirconium or zirconium alloy by controlling the surface roughness of the zirconium or zirconium alloy having a single phase crystal structure and uniform composition before forming the oxide film. About the method.
[0005]
Zirconium's excellent corrosion resistance has been known for many years. Zirconium exhibits excellent corrosion resistance in many aqueous and non-aqueous media, for which reason its use in the chemical processing industry and medical applications has been increasing. The limitations of the wide application of zirconium in these areas are relatively low wear resistance and propensity to wear. This relatively low wear resistance and propensity to wear are also exhibited in zirconium alloys.
[0006]
Orthopedic implant materials must combine high strength, corrosion resistance and histocompatibility. The life of the implant is most important, especially if the recipient of the implant is relatively young, as it is desirable for the implant to function for the entire life of the patient. Certain metal alloys have the required mechanical strength and biocompatibility and are therefore ideal candidates for the manufacture of prostheses. These alloys include 316L stainless steel, a chromium-cobalt-molybdenum alloy, and more recently a titanium alloy that has proven to be optimal for the manufacture of load-bearing prostheses.
[0007]
One of the variables that determines the longevity of a load-bearing implant is the rate of wear of the articular surface and the long-term effects of metal ion release. A typical hip prosthesis comprises a stem, a femoral head, and an acetabular cup with which the femoral head forms an articulation. Wear of one or both of the articular surfaces increases wear particle levels and creates "play" between the thigh head and the cup articulated to it. The joints must eventually be replaced because the wear debris acts to prevent tissue rejection from leading to bone resorption.
[0008]
The rate of wear depends on many factors, including the relative hardness and surface finish of the materials that make up the femoral head and acetabular cup, the coefficient of friction between the material of the cup and the head, the applied load. Includes stresses that occur on joint surfaces. The most common material combination currently used in the manufacture of hip implants is for acetabular cups lined with organic polymers or composites such as, for example, polymers including ultra high molecular weight polyethylene (UHMWPE). Includes an articulated femoral head of cobalt or titanium alloy and an abrasive alumina thigh head lined with an organic polymer or composite or bonded to an acetabular cup made of abrasive alumina.
[0009]
Among the factors affecting the wear rate of conventional hip implants, the most important are the patient's weight and activity level. In addition, it has been shown that frictional heat during normal use of the implant, such as during walking, accelerates the creep and wear of the polyethylene cup. Furthermore, there is a correlation between the frictional moment transmitting the torque load to the cup and the coefficient of friction between the femoral head and the surface of the acetabular cup that articulates the head. Cup torque has been associated with cup loosening. Thus, in general, the higher the coefficient of friction for a given load, the higher the level of generated torque. Ceramic bearing surfaces have been shown to produce significantly lower levels of friction torque.
[0010]
Of note, as noted above, two of the three commonly used hip systems include a metal thigh head articulated against the lining of the UHMWPE in the acetabular cup. UHMWPE is a polymeric material that, when heated, is more susceptible to creep than commonly used metal alloys or ceramics due to its relatively low melting point, and is therefore more prone to wear than alloys and ceramics.
[0011]
It has also been found that metal prostheses are not necessarily inert in the human body. Body fluids act on metals, causing them to slowly erode by ionization, thereby releasing metal ions into the body. The metal ions released from the prosthesis are also related to the rate of wear of the load bearing surface. This is because the passivating oxide film formed on the surface is always removed. Its re-passivation action always releases metal ions during the ionization action. In addition, the presence of abrasives (cement or bone debris) accelerates this effect, and fine corroded metal particles increase wear. As a result, the UHMWPE lining in the acetabular cup is articulated against the femoral head and is subjected to accelerated levels of creep, wear and torque.
[0012]
Suzuki et al., U.S. Pat. No. 4,145,764, recognizes that metal prostheses have excellent mechanical strength but tend to corrode in the body by ionization. Suzuki et al. Also noted the affinity between ceramics and bone tissue, but noted that ceramic prostheses had poor impact resistance. Accordingly, Suzuki et al. Provided a metal prosthesis that was sequentially sprayed with a porous cement coating that was plasma sprayed with an adhesive and allowed to ingrow the bone into the pores. This combination, as already mentioned, will provide both the mechanical strength of the metal and the biocompatibility of the ceramic.
[0013]
The Suzuki patent did not address the friction and wear issues of orthopedic implants, but focused on a single issue on the biocompatibility of metal prostheses. In addition, Suzuki et al. Did not address the issues of dimensional changes that occur when applying a coating or the effects of dimensional changes in the reduction of the fit between the prostheses that form the joint.
[0014]
In addition, applying a ceramic coating to a metal substrate often results in a non-uniform, poorly adherent coating that tends to crack due to differences in elastic modulus and thermal expansion between the ceramic and the underlying metal substrate. . In addition, such coatings tend to be relatively thick (50-300 microns), the adhesion between the metal and the ceramic coating is often weak, and there is a risk of wear and flaking of the ceramic coating.
[0015]
It has long been attempted to create a zirconium oxide coating on zirconium components to increase wear resistance. One such process is disclosed in Watson U.S. Pat. No. 3,615,885, which deploys a thick (up to 0.23 mm) oxide layer over Zircaloy 2 and Zircaloy 4. To disclose the procedure. However, this procedure results in significant dimensional changes for parts having a thickness of about 5 mm or less, and the oxide films formed do not show particularly high wear resistance.
[0016]
Watson U.S. Pat. No. 2,987,352 discloses a method for producing a blue-black oxide coating on a zirconium alloy part with the goal of increasing wear resistance. Both U.S. Pat. No. 2,987,352 and U.S. Pat. No. 3,615,885 produce a zirconium oxide coating on a zirconium alloy by air oxidation. U.S. Pat. No. 3,615,885 continues air oxidation long enough to produce a thicker beige coating than the blue-black coating of U.S. Pat. No. 2,987,352. This beige coating does not have the abrasion resistance of a bluish black coating and is not applicable to many parts with two working surfaces in close proximity. Due to the resulting formation of zirconium oxide particles and loss of integrity of the zirconium oxide surface, the beige coating wears faster than the blue-black oxide coating. Loss of the oxidized surface exposes the zirconium metal to the environment and moves the zirconium interface from the metal surface to the adjacent environment.
[0017]
The hardness of the blue-black coating is higher than that of the beige coating, but the blue-black coating has a smaller thickness than the beige coating. This hard blue-black oxide coating works well on surfaces such as prostheses. The blue-black coating is more abrasion-resistant than the beige coating, but is a relatively thin coating. Accordingly, it is desirable to produce a highly abrasive blue-black coating without producing the same type of coating as in the prior art.
[0018]
U.S. Pat. No. 5,037,438 to Davidson discloses a method for making a zirconium alloy prosthesis having a zirconium oxide surface. U.S. Pat. No. 2,987,352 to Watson discloses a method of making a zirconium bearing having a zirconium oxide surface. Since the oxide film produced is not necessarily uniform in thickness, its non-uniformity reduces the integrity of the bond between the zirconium alloy and the oxide layer and the integrity of the bond within the oxide layer. U.S. Pat. Nos. 2,987,352 and 5,037,438 are incorporated by reference as if fully set forth herein.
[0019]
In International Publication No. PCT WO 98/42390 and related US Ser. No. 09 / 381,217, Hunter et al. Disclosed a method for obtaining a zirconium oxide coating of uniform thickness. Hunter has shown that it can be obtained by applying nominal oxidation techniques to substrate materials that result in a refined microstructure and variable surface roughness. Microstructure refining is shown in PCT WO 98/42390 by techniques including hot forging of ingots into wrought bars, closed die forging, rapid solidification and powder compaction. Variable surface roughness is achieved by grinding, buffing, mass finishing, vibratory finishing, and the like. US application Ser. No. 09 / 381,217 is incorporated by reference as if fully set forth herein.
[0020]
There is a need for a method of forming a uniform thickness oxide film on a zirconium alloy. There is a need for a metal alloy based orthopedic implant having a low friction, high wear resistant load bearing surface that can be implanted for the life of a recipient. There is a need for a metal alloy-based orthopedic implant that is less susceptible to corrosion by the action of bodily fluids, is biocompatible, and is stable for the life of the recipient.
[0021]
The present invention induces an altered surface roughness on a single-phase / single-composition zirconium-based substrate prior to oxidizing the zirconium or zirconium alloy to form a blue-black zirconium oxide coating of uniform and controlled thickness. It is another object of the present invention to provide an improved method for forming an oxide film having a uniform thickness on zirconium or a zirconium alloy having a single-phase crystal structure and a uniform composition. The present invention also alters the surface roughness of at least a portion of a zirconium or zirconium alloy prosthesis, wherein the zirconium or zirconium oxide at least partially includes a single phase crystal structure and uniform composition prior to oxidizing the prosthesis. Forming a uniform and controlled thickness of a blue-black zirconium oxide coating on at least a portion of the surface of the prosthesis with a uniform thickness oxide coating on a zirconium or zirconium alloy prosthesis for implantation in a patient. It provides a method of forming.
[0022]
Summary of the invention
“One” as used in the following description means one or more. When used in the claims, in connection with "comprising", "one" means one or more. “Other” as used below means at least a second or more.
[0023]
As used herein, the term "single-phase crystal structure and homogeneous composition" is defined as an alloy or pure metal material having a homogeneous, solid solution, microstructure with only one crystalline phase. In the case of an alloy, it refers to a single homogeneous solid solution in which the entire metal consists of only a single crystalline phase.
[0024]
As used herein, "zirconium alloy" is defined as any metal alloy containing zirconium in an amount greater than zero. Therefore, here, an alloy having a small amount of zirconium is considered as a “zirconium alloy”.
[0025]
The following description includes examples of preferred embodiments for practicing the present invention. However, they are not limiting examples. Other examples and methods are possible in practicing the invention.
[0026]
The present invention relates to a prosthesis or implant of zirconium or a zirconium-containing metal alloy coated at least in part through natural oxidation with a blue-black or black layer of uniform thickness of zirconium oxide and a method of forming the uniform coating. provide. Uniform coatings of zirconium oxide provide a thin, dense, low-wear, wear-resistant, biocompatible surface ideally suited for use on articular surfaces of joint prostheses. Provide a prosthesis that articulates, moves, and rotates with respect to a surface coated with zirconium oxide. Thus, a uniform zirconium oxide coating may be used for femoral heads, the inner surface of acetabular cups of hip implants, and other types such as, but not limited to, knee, shoulder, upper, elbow or spinal implants. Useful for articulating surfaces of prostheses.
[0027]
One embodiment includes modifying the surface roughness of a zirconium or zirconium alloy having a single phase crystal structure and a single composition, and then oxidizing the zirconium or zirconium alloy, comprising a bluish black or black of uniform thickness. There is a method of coating zirconium or a zirconium alloy with a layer of black zirconium oxide. In one particular embodiment, the step of changing the surface roughness comprises changing the surface roughness (Ra) in a range from about 3 microinches to 25 microinches. In another embodiment, the step of changing the surface roughness comprises changing the surface roughness (Ra) in a range from about 3.5 micro inches to 7 micro inches. Changing the surface roughness can be achieved in a number of ways. Examples of altering the surface roughness include, but are not limited to, grinding, buffing, mass finishing, shaking finishing, and any combination thereof. In a specific embodiment of the method, zirconium or a zirconium alloy having a particle size smaller than ASTM micro particle size number 10 is used. Oxidation of zirconium or a zirconium alloy can be achieved in a number of ways. Examples include, but are not limited to, using air as the oxidant and using oxygen as the oxidant. In certain embodiments, altering the surface roughness of the zirconium or zirconium alloy having a single phase crystal structure and uniform composition is performed on a zirconium or zirconium alloy containing 0.3% by weight oxygen. In yet another embodiment, the method includes altering the surface roughness of pure alpha phase zirconium. Zirconium or zirconium alloys are manufactured in a number of ways. Examples include, but are not limited to, processes selected from the group including hot forging of ingots into bars, closed die forging, rapid solidification, and powder compaction.
[0028]
In another embodiment of the invention, a prosthesis body having an outer surface at least a portion of which is formed from zirconium or a zirconium alloy, and a uniform thickness bluish black or black oxide formed over said portion of the outer surface There is a prosthesis comprising a zirconium coating and implanted in a patient. The blue-black or black zirconium oxide is formed by any of the methods described above, or any equivalent method.
[0029]
In certain embodiments, the prosthesis is a non-articulated medical device in which the prosthesis body is at least partially formed from a zirconium or zirconium alloy material comprising a partially or completely coated blue-black or black zirconium oxide of uniform thickness. It is an implant. In another particular embodiment, the non-articular medical implant is selected from the group comprising bone plates and bone screws.
[0030]
In another embodiment, a prosthesis having a support surface includes at least one condyle on the prosthesis body and a tibial element adapted to cooperate with the support surface. The blue-black or black zirconium oxide coating forms directly on the bearing surface of the condylar region and reduces wear of the tibial component. In this embodiment, the tibial component can be formed from an organic polymer or a polymer-based composite. In another embodiment, the prosthesis further comprises a support surface on the prosthesis body, the support surface having a size and shape to engage or cooperate with the second support surface of the other prosthesis portion. it can. In certain embodiments, the second support surface is formed from an organic polymer or a polymer-based composite.
[0031]
In yet another embodiment of the present invention, the prosthesis body is a hip prosthesis for implantation in a femur with a head formed from zirconium or a zirconium alloy. In this embodiment, the prosthesis comprises a support surface on the head of the prosthesis body and an acetabular cup having an inner surface, the inner surface cooperating with the support surface on the head. . The coating of blue-black or black zirconium oxide is formed directly on the support surface of the head portion to reduce wear on the inner surface of the acetabular cup. In certain embodiments, the inner surface of the acetabular cup can be formed from an organic polymer or a polymer-based composite.
[0032]
In other embodiments, any of the foregoing prostheses is characterized in that the blue-black or black zirconium oxide coating is up to about 20 microns or up to about 10 microns thick.
[0033]
In another embodiment, any of the foregoing prostheses, the implanted portion of the prosthesis body further comprises an irregular surface structure adapted to receive tissue that grows in a portion of the prosthesis body. It is characterized by. In certain embodiments, the irregular surface structure is formed from zirconium or zirconium metal beads attached to the outer surface of the prosthesis body, and at least a portion of the surface of the beads is oxidized to a blue-black or black zirconium oxide. Has become. The irregular surface structure is formed of a metal mesh of zirconium or a zirconium alloy connected to the outer surface of the prosthesis body, and at least a part of the mesh is oxidized to bluish black or black zirconium oxide.
[0034]
In other embodiments, any of the foregoing prostheses is characterized in that the prosthesis body is an endoprosthesis body suitable for a knee, hip, jaw, finger, scapula, or spinal cord.
[0035]
Description of the drawings
FIG. 1 is a schematic diagram showing the hip prosthesis in the correct position.
[0036]
FIG. 2 is a schematic view showing a general hip joint prosthesis.
[0037]
FIG. 3 is a schematic diagram showing the hip joint prosthesis in the correct position.
[0038]
FIG. 4 is a schematic view showing a general knee joint component.
[0039]
Detailed description of the invention
One aspect of the present invention is to provide a method of forming a uniform thickness oxide film on zirconium or zirconium alloy having a single phase crystal structure and a uniform composition and a modified surface roughness, respectively. Another aspect of the invention is a low-profile, uniform thickness over a prosthetic surface, such as an articulated and irregular surface structure adapted to accommodate tissue ingrowth in a portion of the prosthetic body. The purpose is to provide an oxide film for friction.
[0040]
The main method of forming a uniform thickness oxide film by inducing an altered surface roughness on a zirconium or zirconium alloy having a single phase crystal structure and a uniform composition, respectively, before oxidizing the zirconium or zirconium alloy Can be applied to various prosthetic parts and devices. These prosthetic components and devices include heart valves, total prosthetic heart implants, ventricular assist devices, cardiovascular implants including vascular grafts and stents; electrical devices such as pacemakers, neural inductors and defibrillation inductors. Signal transmission devices; guidewires and catheters; percutaneous devices; and joint prostheses, including, but not limited to, hip and surface replacements, knees, back, elbows, endoprostheses, spinal segments and fingers . Examples of such articulating surfaces are shown in the schematic diagrams of FIGS. Further, the present invention is applicable to non-articular implant elements such as bone plates and bone screws.
[0041]
A representative hip joint assembly is shown in a natural position in FIG. The hip stem 2 is fitted in the femur, and the femoral head 6 of the prosthesis is fitted in the inner layer 8 of the acetabular cup 10 which is fixed to the pelvis in order as shown in FIG. Porous metal beads or wire mesh coating 12 is incorporated to stabilize the implant by ingrowth of surrounding tissue into the porous coating. Similarly, such porous metal beads or wire mesh coatings can be applied to the acetabular component. The thigh head 6 may be an integral part of the hip stem 2 or may be a separating element mounted on a conical taper at the end of the neck 4 of the hip prosthesis. This allows the fabrication of a prosthesis with a metal stem and neck, rather than a thigh head of another material such as ceramic. This method of construction is often desirable. This is because ceramics were found to produce little friction torque and friction when articulating with the UHMWPE lining of the acetabular cup. In addition, zirconia ceramics have been found to wear UHMWPE less than alumina. However, regardless of the material, the femoral head articulates with the inner surface of the acetabular cup, thereby causing wear, and over time, this may require replacement of the prosthesis. This is especially the case when the femoral head is metal and the acetabular cup is lined with an organic polymer or a composite thereof. Although polymer surfaces provide good, relatively low friction surfaces and biocompatibility, they are subject to wear and accelerated creep due to the frictional heat and torque experienced during normal use.
[0042]
Although UHMWPE cross-linked through irradiation followed by a heating step has been shown to exhibit great abrasion resistance, it has similar disadvantages. A representative knee prosthesis in natural position is shown in FIG. The knee joint comprises a thigh element 20 and a tibial element 30. The femoral component comprises a condyle 22 with the articular surface of the femoral component and a nail 24 for fixing the femoral component to the femur. The tibial component 30 includes a tibial base 32 having a nail 34 for mounting the tibial base on the tibia. The tibial platform 36 includes a groove 38 mounted on the tibial base 32 and resembling the shape of the condyle 22. The bottom surface of the condyle 26 contacts the grooves 38 of the tibial platform, and the condyles articulate in these grooves to the tibial platform. The condyles are typically made of metal, while the tibial platform can be made of an organic polymer or polymer-based composite. Thus, the hard metal condylar surface 26 articulates with the relatively soft organic composition. This results in wear of the organic material, the tibial platform, and requires replacement of the prosthesis. As in the case of the hip joint, a porous bead or wire mesh covering can be applied to the tibial or thigh element or both of the knee joint.
[0043]
The present invention provides orthopedic implants or prostheses comprised of zirconium or a zirconium-containing metal alloy and coated with a uniform thickness of zirconium oxide, or a thin coating of zirconium or a zirconium alloy of conventional orthopedic implant materials. In order to form a continuous and useful uniform thickness zirconium oxide coating on the desired surface of the metal alloy prosthesis substrate, the metal alloy is present in an amount of about 80 to about 100% by weight, preferably about 94 to about 100% by weight. Should contain zirconium. Oxygen and other common alloy elements may be used in the alloy if the resulting alloy is of a single phase. The oxygen, nitrogen, and carbon of the interstitial elements have the ability to strengthen zirconium, particularly while maintaining a single-phase crystalline microstructure. At low temperatures, zirconium is an alpha (α) phase crystal. Beta (β) phase zirconium is stable at high temperatures (above about 866 ° C.), but can be made stable at low and high levels by adding β stabilizers such as niobium (α stabilizers such as oxygen). Increases the transition temperature). Examples of useful alloys in this application are α-phase zirconium containing 0.3% by weight of oxygen, α-phase stabilizer. Other alpha phase stabilizers include nitrogen, aluminum, and tin. Also, beta phase zirconium alloyed with one or more beta stabilizers such as niobium, chromium, iron and molybdenum is useful in the present invention.
[0044]
The base zirconium-containing metal alloy is made by conventional methods into the desired shape and size to provide the prosthetic substrate. Shaped zirconium or zirconium alloys must have a single-phase crystalline structure and uniform composition made by alloying zirconium with one or more other elements to make a single-phase alloy material.
[0045]
Next, the zirconium or zirconium alloy of the substrate is subjected to a surface polishing treatment including, but not limited to, grinding, buffing, mass finishing and vibration finishing. The surface polishing process is used to create a modified surface roughness of about 3 to about 25 microinches. Also, the range of the surface roughness can be from about 3.5 to about 7 microinches. When zirconium or a zirconium alloy is subjected to an oxidation treatment with a single-phase crystalline structure and uniform composition, respectively, and a moderately changed surface roughness, the appropriate changed surface roughness will reduce the pre-existing surface roughness. By varying the surface roughness to a size that can form a uniform oxide film.
[0046]
Next, the substrate is subjected to processing conditions that allow the spontaneous (natural) formation of a tightly adhered, diffusion bonded coating of zirconium oxide of uniform thickness on its surface. The processing conditions include, for example, air, steam, hydroxylation or salt bath oxidation. These processes are thin, hard, dense, blue-black or black, low-friction, abrasion-resistant, uniform-thickness zirconium oxide films or coatings, typically in the range of a few microns. Is ideally provided on the surface of the prosthesis substrate. Oxygen diffused under the coating by oxidation increases the hardness and strength of the underlying base metal.
[0047]
The oxidation of air and water is described in expired Watson U.S. Pat. No. 2,987,352, the disclosure of which is incorporated by reference as if set forth. Oxidation treatment applied to zirconium or zirconium alloy, each having a single-phase crystalline structure, uniform composition and moderately varying surface roughness, firmly adheres zirconium oxide of uniform thickness of highly stretched monoclinic crystal type To provide a black or blue-black layer. If the oxidation is continued excessively, the coating becomes white and separates from the metal substrate. For convenience, the metal prosthesis substrate is placed in a furnace having an oxygen-containing atmosphere, such as air, and is typically heated at 900 ° -1300 ° F. for up to about 6 hours. However, other combinations of temperature and time are possible. Using higher temperatures reduces the oxidation time and prevents the formation of white oxides.
[0048]
One salt bath method that can be used to apply a zirconium oxide coating to a metal alloy prosthesis is that of Hagers U.S. Pat. No. 4,671,824, the disclosure of which is fully incorporated herein by reference. Incorporated by citation. The salt bath method provides a similar, somewhat abrasion-resistant blue-black or black zirconium oxide coating. This method requires that an oxidizing compound capable of oxidizing zirconium be present in the molten salt bath. The molten salt contains chloride, nitrate, cyanide and the like. The oxidizing compound, sodium carbonate, is present at slightly up to about 5% by weight. The addition of sodium carbonate lowers the melting point of the salt. As in air oxidation, the rate of oxidation is proportional to the temperature of the molten salt bath, and the '824 patent prefers a range of 550 ° C to 800 ° C (1022 ° F to 1470 ° F). However, the low oxygen level in the salt bath produces a thinner film than furnace air oxidation at the same time and at the same temperature. A 4 hour salt bath treatment at 1290 ° F. produces an oxide coating thickness of about 7 microns.
[0049]
The overall thickness of the zirconium oxide coating is mainly controlled by various times and temperatures in the native growth process. The invention relates to the uniformity of the thickness of the coating so produced. The formation of a uniform oxide film during the oxidation treatment according to the method described herein depends on the surface having a suitably varied surface roughness, the single-phase crystalline structure and the uniform composition. Since the oxide film grows starting from the unevenness of the surface, if the oxidation start site is too far away, a uniform coating thickness is formed on the surface that is too smooth. Oxidation rates can be different in grains of different structure and composition (such as between alpha and beta grains in a two-phase zirconium alloy). Therefore, the oxide film may not grow to a uniform thickness due to a microstructure that is too coarse. Specific limits on the required minimum surface roughness and maximum phase homogeneity depend on the alloy and the application.
[0050]
Uniform thickness zirconium oxide coatings vary up to about 20 microns. Preferably, a blue-black zirconium oxide layer of uniform thickness varying from about 1 to about 10 microns in thickness is formed. Most preferably, the uniform thickness zirconium oxide layer varies from about 3 microns to about 7 microns. For example, furnace air oxidation at 1100 ° F. for 3 hours can produce a 4-5 micron thickness over a zirconium alloy having a surface roughness (Ra) of about 4 microinches and having more than 96% by weight zirconium. To form a uniform oxide film. Longer oxidation times and higher oxidation temperatures increase this thickness, but can jeopardize the integrity of the coating. For example, 1300 ° F. for 1 hour forms an oxide coating thickness of about 9 microns. Of course, only a very small dimensional change, typically less than 10 microns over the thickness of the prosthesis, results, since only a thin oxide is required for the surface. Generally, thin coatings (1-10 microns) have good adhesion strength. However, depending on the application, a thicker coating may be used.
[0051]
Blue-black or black zirconium oxide coatings produced by any of the prior art methods are quite similar in hardness. For example, when a polished zirconium alloy prosthesis substrate is oxidized, the surface hardness shows a dramatic increase over the initial 200 Knoop hardness of the metal surface. The surface hardness of the blue-black zirconium oxide surface resulting from the salt bath or air oxidation treatment is about 1200-1700 Knoop hardness.
[0052]
The diffusion bonded, low friction, high wear resistant, uniform thickness zirconium oxide coating of the present invention provides a device that requires prosthetic surfaces, orthopedic implants, and biocompatible surfaces to be exposed to wear conditions. Applicable to Such surfaces include the knee, elbow and hip joint surfaces. As described above, in the case of a hip joint, the femoral head and stem are typically made of a metal alloy, and the acetabular cup is made of ceramics, metal, or a metal or ceramic lined with an organic polymer. Is done.
[0053]
When a zirconium oxide coating is applied to a surface that is subject to wear, it is desirable to obtain a smooth finished surface to minimize wear. After the oxidation treatment, the oxide surface can be polished by any of a variety of conventional finishing techniques. Sufficient oxide thickness must be formed to accommodate the selected finishing technique. For example, a surface having a uniform oxide layer of about 5 microns, which had a surface roughness (Ra) of about 4 micro inches prior to oxidation, can be reduced to about 2 microns by reducing the oxide thickness by about 1 micron. It can be polished to a final surface roughness (Ra) of inches.
[0054]
Zirconium or zirconium alloys can also be used to provide porous beads or metal mesh surfaces, with which the surrounding bone and other tissues integrate to stabilize the prosthesis. These porous coatings can be simultaneously treated by oxidation of the prosthetic substrate to eliminate or reduce metal ion emissions. In addition, zirconium or a zirconium alloy can also be used as a surface layer applied over conventional implant materials prior to the introduction of variable surface roughness, natural oxidation and formation of a uniform zirconium oxide coating.
[0055]
The problem of forming a thick oxide film with low abrasion and with large dimensional changes in the process of US Pat. No. 3,615,885 is avoided by the process of the present invention. Controlling both the overall coating thickness and thickness uniformity allows for many dimensional controls in the manufacture of prostheses where tight tolerances are required. The present invention also produces an oxide film having high abrasion resistance, unlike that of the '885 patent.
[0056]
The treatment of the present invention creates a uniform thickness blue-black zirconium oxide coating by producing a variable surface roughness on zirconium or zirconium alloy having a single phase crystal structure and uniform composition, and having a thickness of Can be controlled by appropriately selecting the oxidation conditions. By forming an oxide film having a uniform thickness, it has particularly high wear resistance and low wear due to the high integrity of the adhesion between the oxide film and the underlying zirconium or zirconium alloy and the high integrity of the adhesion in the oxide layer. An oxide coating of variable and controllable thickness is provided. The term "high integrity" refers to a uniform oxide film of thickness without visible cracks or holes when viewing the cross section with an optical microscope.
[0057]
The present invention provides a prosthesis made of zirconium or a zirconium-containing metal alloy having a single phase crystal structure and a uniform composition coated with natural oxide by a uniform thickness of zirconium oxide. Zirconium oxide coatings of uniform thickness provide a thin, dense, low-friction, high-integrity joint ideally used for articulating surfaces of moving and rotating joint prostheses where the articulating surface is articulated to the corresponding articulating surface. A prosthesis of the invention having a wear-resistant, biologically applicable surface. Thus, zirconium oxide coatings of uniform thickness are usefully used on femoral heads, on the inner surface of acetabular cups of hip implants, and on the articulating surfaces of other types of prostheses, such as knee joints.
[0058]
When a joint surface coated with a uniform thickness of zirconium oxide is used to articulate or rotate with respect to a surface coated with a non-metallic or non-zirconium oxide, a uniform thickness Due to the low friction properties of the coating and the high integrity of the uniform thickness coating, friction, wear and heat generation are reduced relative to prior art prostheses. This reduced heat generation reduces the tendency of the non-metallic or non-zirconium oxide coated support surface to experience creep and torsional moments and increases the useful life of the opposing surface. Organic polymers such as UHMWPE rapidly increase the rate of creep when exposed to heat that has a detrimental effect on the lifetime of the inner layer. Polymer debris can lead to adverse tissue reactions and loosening of the appliance. Thus, a uniform thickness zirconium oxide coating not only helps to improve the protection of the prosthesis substrate to which it is applied with high integrity, but it also makes it in operative contact as a result of its low friction surface It protects these surfaces and consequently increases the performance and longevity of the prosthesis.
[0059]
Uniform thickness zirconium oxide coated articular surfaces also increase the useful life of the opposing surface when the opposing surface is human tissue. Surgical replacement of one element of a joint is referred to as "hemiarthroplasty", and since the replaced joint has only one joint (prosthesis) element, the joint element is a "monopolar" prosthesis. Or, it is often referred to as "endoprosthesis." The uniform thickness of the zirconium oxide coating is a low friction surface for articulating, moving, and rotating with respect to the body tissue, thereby reducing the case where the organic polymer is opposed to the opposed surface of the organic polymer. And produce similar beneficial results.
[0060]
The usefulness of zirconium oxide coated prostheses is not limited to load bearing prostheses, especially to joints that experience high speed wear. Other applications are possible in non-articular implant devices such as bone plates and bone screws. The uniform thickness of the zirconium oxide coating is tightly adhered to the zirconium alloy prosthesis substrate, thus providing a reinforced boundary wall between bodily fluids and the zirconium alloy metal, thereby providing ionization and associated metallization. Corrosion of the alloy due to the process of ion release is prevented as compared with the non-uniform oxide film.
[0061]
Further, spontaneous formation of a uniform thickness zirconium oxide coating from the presence of zirconium in the substrate metal includes diffusing oxygen into the metal substrate under the oxide coating. Oxygen, which is an alloying component in zirconium, increases the strength of the metal substrate, particularly the fatigue strength. In addition, the high integrity of a uniform thickness coating reduces the number of fatigue crack initiation sites for non-uniform thickness oxide films including cracks and holes. Resistance to fatigue loading is excellent in many orthopedic implant applications such as hip stems and femoral and tibial knee components. Thus, the formation of a zirconium oxide coating of uniform thickness not only improves wear, friction and corrosion resistance, but also improves the mechanical integrity of the implant device from a strength standpoint.
[0062]
Although the present invention has been described with reference to preferred embodiments thereof, those skilled in the art, upon reading this disclosure, will appreciate that modifications and variations that can be made without departing from the scope and spirit of the invention described above or below. Can be recognized.
[0063]
All patents and publications mentioned in the specification are indicative of the levels of those skilled in the art to which this invention pertains. All patents and publications are herein incorporated by reference to the same content as if each publication were specifically indicated to be individually incorporated by reference.
U.S. Patent Literature
4,145,764 3/1979 Suzuki and others
3,615,885 10/1971 Watson
2,987,352 6/1961 Watson
5,037,428 8/1991 Davidson
Foreign patent literature
PCTWO98 / 42390 10/1998 (issued) Hunter and others
Other references
ASTM Manual on Zirconium and Hafnium, Jay. H. Schmel, Special Technical Publication 639, American Society for Testing and Materials, Philadelphia, PA, 1977.
Transformations in Metals, P. Gee. Seuman, McGraw-Hill, New York, 1969.
[0064]
Those skilled in the art will readily recognize that the present invention may be well adapted to carry out the objects and obtain the described results and advantages, as if they existed. The systems, methods, procedures, and techniques described herein represent presently preferred embodiments, are intended to be illustrative, and not limiting. Variations and other uses that fall within the spirit of the invention or are defined by the claims will occur to those skilled in the art.
[Brief description of the drawings]
[0065]
FIG. 1 is a schematic diagram showing the hip prosthesis in the correct position.
FIG. 2 is a schematic view showing a general hip joint prosthesis.
FIG. 3 is a schematic diagram showing the knee joint prosthesis in the correct position.
FIG. 4 is a schematic view showing a general knee joint part.

Claims (24)

単相結晶構造と単一組成を有するジルコニウム又はジルコニウム合金の表面粗さを変更し、次いで、前記ジルコニウム又はジルコニウム合金を酸化する工程を備える、均一厚さの青黒色又は黒色酸化ジルコニウムの層によってジルコニウム又はジルコニウム合金を被覆する方法。Changing the surface roughness of the zirconium or zirconium alloy having a single phase crystal structure and a single composition, and then oxidizing the zirconium or zirconium alloy, the zirconium by a layer of blue-black or black zirconium oxide of uniform thickness. Alternatively, a method of coating a zirconium alloy. 表面粗さを変える工程は、約3マイクロインチから25マイクロインチまでの範囲の表面粗さ(Ra)に変えることからなることを特徴とする請求項1の方法。The method of claim 1 wherein the step of changing the surface roughness comprises changing the surface roughness (Ra) in a range from about 3 microinches to 25 microinches. 表面粗さを変える工程は、約3.5マイクロインチから7マイクロインチまでの範囲の表面粗さ(Ra)に変えることからなることを特徴とする請求項1の方法。The method of claim 1 wherein the step of changing the surface roughness comprises changing the surface roughness (Ra) in a range from about 3.5 micro inches to 7 micro inches. 表面粗さを変える工程は、研削,バフかけ,マス仕上げ,震動仕上げおよびこれらのいずれかの組合せを含むグループから選択された工程を備える研磨表面作成処理からなることを特徴とする請求項1の方法。2. The method of claim 1, wherein the step of changing the surface roughness comprises a polishing surface preparation process comprising a step selected from the group comprising grinding, buffing, mass finishing, shaking finishing, and any combination thereof. Method. ジルコニウム又はジルコニウム合金は、ASTMマイクロ粒度番号10より小さい粒度を有することを特徴とする請求項1の方法。The method of claim 1, wherein the zirconium or zirconium alloy has a grain size less than ASTM micro grain size number 10. 酸化する工程は、酸化体としての空気を使用することを特徴とする請求項1の方法。The method of claim 1, wherein the oxidizing step uses air as an oxidant. 酸化する工程は、酸化体としての酸素を使用することを特徴とする請求項1の方法。The method of claim 1, wherein the oxidizing step uses oxygen as an oxidant. 単相結晶構造と均一組成を有するジルコニウム又はジルコニウム合金の表面粗さを変える工程は、約0.3重量%の酸素を有するジルコニウム又はジルコニウム合金の表面粗さを変えることからなることを特徴とする請求項1の方法。Altering the surface roughness of the zirconium or zirconium alloy having a single phase crystal structure and uniform composition comprises altering the surface roughness of the zirconium or zirconium alloy having about 0.3% oxygen by weight. The method of claim 1. 単相結晶構造と均一組成を有するジルコニウム又はジルコニウム合金の表面粗さを変える工程は、純粋アルファ相ジルコニウムの表面粗さを変えることからなることを特徴とする請求項1の方法。The method of claim 1 wherein the step of changing the surface roughness of zirconium or a zirconium alloy having a single phase crystal structure and uniform composition comprises changing the surface roughness of pure alpha phase zirconium. 棒材へのインゴットの熱鍛造加工,閉鎖ダイ鍛造,高速凝固,および粉末圧縮を含むグループから選択された処理によって、ジルコニウム又はジルコニウム合金を製造する工程をさらに備える請求項1の方法。The method of claim 1, further comprising the step of producing zirconium or a zirconium alloy by a process selected from the group comprising hot forging of ingots into bars, closed die forging, rapid solidification, and powder compaction. (a)少なくともその一部分がジルコニウム又はジルコニウム合金から形成された外部表面を有する人工装具本体と、
(b)外部表面の前記部分の上に形成された均一厚さの青黒色又は黒色酸化ジルコニウム被膜と、
を備え、青黒色又は黒色酸化ジルコニウムの被膜が請求項1〜10のいずれか1つの方法によって形成される、患者内に移植するための人工装具。
(A) a prosthesis body having an outer surface at least a portion of which is formed from zirconium or a zirconium alloy;
(B) a blue-black or black zirconium oxide coating of uniform thickness formed on said portion of the outer surface;
A prosthesis for implantation in a patient, comprising a blue-black or black zirconium oxide coating formed by the method of any one of claims 1 to 10.
(a)人工装具本体上に少なくとも1つの関節丘を備える支持面と、
(b)支持面と共働するように適合された脛骨要素と、
をさらに備え、青黒色又は黒色酸化ジルコニウムの被膜が関節丘部分の支持面上に直接形成され、脛骨要素の摩耗を低減する請求項11の人工装具。
(A) a support surface comprising at least one condyle on the prosthesis body;
(B) a tibial element adapted to cooperate with the bearing surface;
12. The prosthesis of claim 11, further comprising a blue-black or black zirconium oxide coating formed directly on the bearing surface of the condylar portion to reduce wear of the tibial component.
脛骨要素が有機ポリマー又はポリマーベースの複合材料から形成されたことを特徴とする請求項12の人工装具。13. The prosthesis of claim 12, wherein the tibial component is formed from an organic polymer or a polymer-based composite. 人工装具本体がジルコニウム又はジルコニウム合金から形成されたヘッド部を備えて大腿骨に移植される股関節人工装具本体であり、前記人工装具が、
(a)人工装具本体のヘッド部上の支持面、
(b)ヘッド部上の支持面と共働するように適合される内面を有する寛骨臼カップ、
をさらに備え、青黒色又は黒色酸化ジルコニウムの被膜がヘッド部の支持面上に直接形成され、寛骨臼カップの内面の摩耗を低減させることを特徴とする請求項11の人工装具。
A prosthesis body is a hip joint prosthesis body that is implanted into a femur with a head portion formed of zirconium or a zirconium alloy, wherein the prosthesis is
(A) a support surface on the head of the prosthesis body,
(B) an acetabular cup having an inner surface adapted to cooperate with a support surface on the head portion;
12. The prosthesis of claim 11, further comprising: a blue-black or black zirconium oxide coating formed directly on the support surface of the head to reduce wear on the inner surface of the acetabular cup.
寛骨臼の内面が有機ポリマー又はポリマーをベースとする複合材料から形成されることを特徴とする請求項14の人工装具。15. The prosthesis of claim 14, wherein the inner surface of the acetabulum is formed from an organic polymer or a polymer-based composite. 人工装具本体上に支持面をさらに備え、その支持面は他の人工装具部分上の第2の支持面と係合又は共働する大きさと形状を有する請求項11の人工装具。12. The prosthesis of claim 11, further comprising a support surface on the prosthesis body, the support surface having a size and shape to engage or cooperate with a second support surface on another prosthesis portion. 第2の支持面が有機ポリマー又はポリマーをベースとする複合材料から形成されることを特徴とする請求項16の人工装具。17. The prosthesis of claim 16, wherein the second support surface is formed from an organic polymer or a polymer-based composite. 青黒色又は黒色酸化ジルコニウムの被膜は、約20ミクロンまで、又は約10ミクロンまでの厚さのものであることを特徴とする請求項11〜16のいずれかの人工装具。17. The prosthesis of any of claims 11 to 16, wherein the blue-black or black zirconium oxide coating is up to about 20 microns or up to about 10 microns thick. 人工装具の移植部分が、人工装具本体の一部に組織の内部成長を収容するように適合される不規則表面構造をさらに備える請求項11〜16のいずれかの人工装具。17. The prosthesis of any of claims 11-16, wherein the implanted portion of the prosthesis further comprises an irregular surface structure adapted to accommodate tissue ingrowth on a portion of the prosthesis body. 不規則表面構造が、人工装具本体の外面に取付けられたジルコニウム又はジルコニウム合金のビーズ形成され、ビーズの表面の一部が酸化されて青黒色又は黒色酸化ジルコニウムになっていることを特徴とする請求項19の人工装具。The irregular surface structure is formed of zirconium or zirconium alloy beads attached to the outer surface of the prosthesis body, and a part of the surface of the beads is oxidized to blue-black or black zirconium oxide. Item 20. The prosthesis of Item 19. 不規則面構造が、人工装具本体の外面に接続されるジルコニウム又はジルコニウム合金の金網から形成され、その金網の表面の一部が酸化されて青黒色又は黒色酸化ジルコニウムになっていることを特徴とする請求項19の人工装具。The irregular surface structure is formed from a wire mesh of zirconium or a zirconium alloy connected to the outer surface of the prosthesis body, and a part of the surface of the wire mesh is oxidized to blue-black or black zirconium oxide. 20. The prosthesis of claim 19, wherein 人工装具本体は、膝関節,股関節,あご,指,肩,又は背骨に使用するのに適した内部人工装具本体である請求項11,18,19,20および21のいずれかの人工装具。22. The prosthesis of any of claims 11, 18, 19, 20 and 21, wherein the prosthesis body is an endoprosthesis body suitable for use on a knee, hip, chin, finger, shoulder, or spine. 人工装具本体が均一厚さの青黒色又は黒色酸化ジルコニウムの部分的な又は完全な被膜を備えたジルコニウム又はジルコニウム合金材料から少なくともその一部が形成された非関節医療用インプラントである請求項11の人工装具。12. The implant of claim 11, wherein the prosthesis body is a non-articular medical implant at least partially formed from a zirconium or zirconium alloy material with a partial or complete coating of blue-black or black zirconium oxide of uniform thickness. Prosthesis. 骨板と骨ねじからなるグループから選択された請求項23の医療用インプラント。24. The medical implant of claim 23, selected from the group consisting of a bone plate and a bone screw.
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